急诊科有机磷中毒处理指南

B. Al
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引用次数: 0

摘要

去污:用肥皂和水清洗身体的去污要彻底彻底。建议每次都重复洗胃,以去除残留的op。脱掉所有衣服和发饰,并将其放入适当的垃圾袋中。一旦患者稳定下来,平静到足以表示同意,在无意识的插管患者中,建议在2-3小时后重复洗胃。虽然在其他地方建议仅在摄入OP后1-2小时内进行,但即使在摄入12小时后也开始进行,并且每隔4小时重复三次。
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Management Guidelines of Organophosphorus Poisoning in Emergency Department
Decontamination: Decontamination of the body by washing with soap and water is to be thorough and complete. A repeat stomach wash in every case is recommended to remove residual OP. Remove all clothing, hair accessories and place them in appropriate waste bags. Gastric lavages is indicated once patient is stabilized, calm enough to give consent and in unconscious intubated patient, which is recommended to be repeated after 2-3 hrs. Though it has been recommended only to be carried out within 1-2 hours of ingestion of OP elsewhere it has been started even after 12 hrs of ingestion and repeated thrice at an interval of 4 hrs.
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